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Membership APPLICATION

We're so glad you've decided to join CBE.

We ask all prospective members to tell us a little bit about themselves by completing this application.
After the application is submitted, your account will be set up, and someone in our membership office will contact you to welcome you and to help you set up your billing and other options.

If you would like to talk to someone or have questions about CBE membership before joining, please click here.

Household Information
This is how mail will be addressed to your household. You can use formats such as: Kohan Family, Kohan Garber Family, or Kohan-Garber Family. 
If you do not have a home phone number, please enter the primary cell phone number for your family.
If you have been a CBE member before, please select Yes, and write in the years of your previous membership. 

Adult 1 Information
How would you like to be addressed?
If you know the month/day/year of your Bat/Bar Mitzvah, please enter it here. If you are unsure of the exact date, please leave this blank for now.

Additional Family Members
 

Adult 2 Information
 
How would you you like to be addressed?
If you know the month/day/year of your Bat/Bar Mitzvah, please enter it here. If you are unsure of the exact date, please leave this blank for now.

Child 1 Information (Under 18)
 

Child 2 Information (Under 18)
 

Child 3 Information (Under 18)
 

Child1 Information (Over 18)
 

Child 2 Information (Over 18)
 

Child 3 (Over 18) Information
 

Yahrzeit Information
 
There will be an opportunity to add additional names.
First and Last Name
Ex: if the deceased were my grandmother, I would write in: Arielle Kohan's Grandmother 
If you know the exact date (month/day/year) of your loved one's passing, please enter it above.  If you are unsure of the exact date, please leave this blank and email akohan@cbebk.org when you are able to confirm the date for remembrance.
First and Last Name
Ex: if the deceased were my grandmother, I would write in: Arielle Kohan's Grandmother 
If you know the exact date (month/day/year) of your loved one's passing, please enter it above. If you are unsure of the exact date, please leave this blank and email Membership Coordinator Maris Krauss at mkrauss@cbebk.org when you are able to confirm the date for remembrance.
First and Last Name
Ex: if the deceased were my grandmother, I would write in: Arielle Kohan's Grandmother 
If you know the exact date (month/day/year) of your loved one's passing, please enter it above. If you are unsure of the exact date, please leave this blank and email ssterling@cbebk.org when you are able to confirm the date for remembrance.

Additional Information
 

Membership Category and Payment Information
 


Upload a photo!

Please upload a recent family photo here. We can accept JPEG or PNG files. This photo will not be shared publicly; it is just for our clergy to be able to see and start to know our new members. Thank you! 
You can upload a maximum of 1 files.

 

Tue, November 24 2020 8 Kislev 5781